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Home My WebLink About2-1-1 ORANGE COUNTY (8)INSURANCE ON FILE. WORK MAY PROCEED UN111- INSURANCE EXPIRES I • \ • 2 ozs CLERK OF COUNCIL DATE: A-2022-224 FIRST AMENDMENT TO EMERGENCY SOLUTIONS GRANT SUBRECIPIENT AGREEMENT BETWEEN THE CITY OF SANTA ANA AND 211 ORANGE COUNTY (24 CFR Parts 91 and 576) THIS FIRST AMENDMENT TO THE EMERGENCY SOLUTIONS GRANT SUBRECIPIENT AGREEMENT is entered into this 15`t day of November, 2022, by and between the City of Santa Ana, a charter city and municipal corporation of the State of California ("City"), and 211 Orange County ("Subrecipient"). 00 V--+ RECITALS A. On July 1, 2022, the City entered into an Emergency Solutions Grant Subrecipient Agreement with 211 Orange County, A-2022-093-03, to provide Emergency Funds from the 'United States Department of Housing and Urban Development (HUD) to be used in the operation of an emergency solution program for the homeless or at risk of homelessness of the City of Santa Ana ("said agreement"). B. In an effort to provide additional housing assistance activities to serve Santa Ana residents experiencing homelessness, $22,340.92 will be reallocated to the 211 Orange County HMIS Data Collection. C. In accordance with the terms and conditions of said Agreement, the parties desire to amend to increase funds to the Subrecipient, which need to be spent by June 30, 2023. NOW THEREFORE, in consideration ot'the mutual and respective promises. and subject to the terms and conditions of said Agreement, except as herein modified, the parties agree as follows: 1. Paragraph 5, shall be amended to increase funding to Subrecipient by S22,340.92 in additional Data Collection and Outreach and Engagement Services. The new total sum shall be increased from S 128,593 to an amount not to exceed S 150,933.92 in grant funding. Section 1, subsection A, shall be amended to add the specific tasks required of the new funds as depicted in Subrecipient's Scope of Services attached hereto as Exhibit A and incorporated herein by reference. 3. Section III, shall be amended to increase funding to Subrecipient by S22,340.92 for a total sum not to exceed 5150,933.92. Subrecipient's Budget for these new funds is attached hereto as Exhibit B and incorporated herein by reference. 4. Except as hereinabove modified. the terms and conditions of said Agreement remain unchanged and in full force and effect. A-2022-224 IN WITNESS WHEREOF, the parties hereto have execrated this First Amendment to said Agreement the date and wear first above written. ATTEST: lerk4ftlteCouncil APPROVED AS TO FORM: Sonia R. Carvalho City Attorney By: RYAN 0. HODGE Assistant 6ty Attorney RECOMMENDED FOR APPROVAL: Michael I.. Garcia Executive Director Community Development Agency CITY OF SANTA ANA: KRISTINE RIDGE City Manager SUBRl CIPIENT: Karen Williams B� 211 Orange County Tax1:D# 3--0063532 Unique IDJ TCK7IJJCBJLA5 City of Santa Ana Scope of Work Name of Organization People For Irvine Community Health DBA 2-1-1 Orange County Name of Funded Program HMIS Annual Accomplishment Goal I. Totaf number of unduplicated clients (Santa Ana and Non -Santa Ana Residents) anticipated to be served by the funded program, named above, during the 12-month contract period. Persons Il. Number of unduplicated Santa Ana residents expected to be served by the funded program during the 12-month contract period. 0 Persons Program and Funding Description Ill. Description of Work - In the space below, describe the program to be funded during the 12-month contract period. What specific activities will be undertaken during the contract period. Please be concise in your response. Only the viewable space will print. Host user meetings Perform site vists Provide training and technical assistance Complete project set-ups Publish data quality and performance reports on the 2110Cwebsite (211oc.org) HMIS licenses HMIS Street Outreach mobile app licenses Housing Intake / 1&R Specialist screening and data entry Monthly demographic survey data via 2-1-1 Santa Ana calls into Community Information Exchange Creation and implementation of quarterly HMIS/1&R Dashboard Schedule of Performance Estimate the number of unduplicated Santa Ana residents to be served by the funded program during the 12-month contract period per quarter. (Enter number of new Santa Ana clients served each quarter. If they were served in quarter 1 do not count them again in quarter 2) Quarter 1: July 1 - September 30 Persons Quarter 2: October 1 - December 31 Persons Quarter 3: January 1 - March 31 Persons Quarter 4: April 1 -June 30 Persons 0 Total unduplicated Santa Ana Residents to be served. Schedule of Invoicing Estimate the amount of grant funds to be requested during the 12-month contract period on a quarterly basis. Quarter 1: July 1 - September 30 $32,148.25 Quarter 2: October 1 - December 31 $39,595.92 Quarter 3: January 1 - March 31 $39.595.00 Quarter 4: April 1 -June 30 $39,594.75 $ 150,933.92 JTotal Grant Exhibit A Page 1 of 1 ESG Final Budget Organization Name People For Irvine Community Health DBA 2-1-1 Orange County Program Name HMIS Expenditures Category Expenses Funded by Santa Ana Expenses Funded I by Other Sources Total Program Budget Total Organizational Budget Housing Relocation and Stabilization Services Financial Assistance Rent Deposit $ - Rental Application fees $ - Utility Deposit $ - Utility $ - Moving Costs $ - Service Assistance Hsg Search & Placement $ - Case Management $ - Mediation $ Legal $ Credit Repair 1 $ - Rental Assistance Rent $ - Other Salaries $ 137,212.65 $ 388,798.37 $ 526,011.02 $ 3,413,850 Other Expenses $ 321,865.78 $ 321,865.78 $ 2,322,328 Indirect Cost $ 13,721.27 $ 71,734.35 $ 85,455.62 $ 637,353 Total $ 150,933,92 $ 782,398.50 $ 933,332.42 $ 6,373,531 LIST ALL OTHER PROGRAM FUNDS THAT HAVE BEEN SECURED (Total Funds for Program must equal Total Program Budget above) Source Amount Santa Ana $ 150,933 City of Anaheim $ 33,528 City of Garden Grove $ 5,121 City of Irvine $ 93,175 HUD HMIS $ 650,575 Total Funds for the Program $ 933,331.50 Exhibit B Page 1 of 1 E5G Funded Personnel Name of Organization: People For Irvine Community Health DBA 2-1-1 Orange Count Name of Program HMIS Program Staff Position Title (only list funded positions) Budget Category Annual Salary Hourly Rate Approximate # of Hours per month serving Santa Ana Total Amount Requested Vice President, Data Analytics Salaries $ 115,000 $ 55.29 14.00 $ 9,288.46 HMIS Program Manager Salaries $ 64,480 $ 3 E00 52.00 $ 19,344.00 HMIS Data Analyst Salaries $ 48,880 $ 23.50 52.00 $ 14,664.00 HMIS Data Analyst Salaries $ 50,960 $ 24.50 52,00 $ 15,288.00 HMIS Data Analyst Salaries $ 50,960 $ 24,50 52.00 $ 15,288,00 HMIS Data Analyst Salaries $ 50,960 $ 24.50 52,00 $ 15,288.00 HMIS Data Analyst Salaries $ 50,960 $ 24.50 52.00 $ 15,288.00 HMIS Data Analyst Salaries $ 50,960 $ 24.50 52.00 $ 15,288.00 Housing Intake/I&R Specialist Salaries $ 39,000 $ 18.75 20.00 $ 4,500.00 Housing Intake/I&R Specialist Salaries $ 39,000 $ 18.75 20.00 $ 4,500.00 Housing Intake/I&R Specialist Salaries $ 36,400 $ 17.50 20.00 $ 4,200.00 Housing Intake/I&R Specialist Salaries $ 36,400 $ 17.50 20.00 $ 4,200.00 Indirect Cost $ 13,796.54 Total ESG Requested S 150,933.00 Toy I I�1 I C ` Digitally signed by Toil Pierson 1J I �` 7 1 n1 Date: 2022.03.234&51SI5 -07'W ACC12Cr CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDrYYYY) 3/22/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITLITE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ids) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condltlons of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of Belch endorsoment(s), PRODUCER (OC) Heffernan Insurance Brokers 18004 Sky Park Circle, Suite 210 Irvine CA 92614 CONTACT NA ONE .949-771-3404 aac a:949.771-3401 E-MAIL ADDRESS INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: Non rof is Insurance Alliance of California 1184 Llaensek 056424`9 INSURED 21100-om People for Irvine Community Health dba 2-1-1 Orange County INSURER B, Travelers Casual!and Surety Company of America 31194 INSURER c 1505 E. 17th Street, Suite 108 Santa Ana CA 92705 INSURERD; INSURER E IN$URERF: COVERAGES CERTIFICATE NUMBER:725273463 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUrD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR T1rPEOf'INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYYI POLICY EXP IMMIDD[MY1 LIMITS A X. COMMERCIALGENERALLIABILITY CLAIMS -MAD; OCCUR Y 2022-03104 21112022 2/112023 EACH OCCURRENCE - $1,000,000 DANIAGE TO RENTER PREMISES Ee 00eurrenca $ 500,000 NIED EXP (An o11e arson) $ 20,00D PERSONAL & ADV INJURY - - $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER; PRO- PCLIGY UECT [X] LOG GENERALAOGREGATE $21U00,000 PRODUCTS - COMPIOP All 1$ 2,D00,000 $ OTHER; A AUTOM0131LELIABILITY 2022-03104 2 I12022 2/1/2023 COMBINED SINGLE LIIAIT Ea acciden! $1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALTOS SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident { ) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMIAGE er accident. $ A X UMBRE.LLALIAB X OCCUR 2022-03104t.'MB-NPO - 2/112022 211/2023 EACH OCCURRENCE $8,000,000 EXCESS LIA8 CLAIMS -MADE AGGREGATE $ B4O00,000 PED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN _ STATUTE ERH F.L.EACH ACCIDENT $ - ANYPROPRIETORIPARTNERIEXECUTIV£ OFF ICERIMEMBEREXCLUDED7 NIA - E.L. DISEASE • EA EMPLOYEE $ (Mandatory in NH) If yes, descrlba under DESCRIPTION OF OPERATIONS bel0'N E.L. DISEASE - PRICY LIMIT $ B Cilrrme 107377947 2/112022 211/2023 EmplcyeeThefl 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, AddllionO Remarks Sohedufn, may be attached if more apses is required) Re; Acgreement4A-2021-069-05. The Clty of Santa Ana, its officers, agents, employees and volunteers are Included as additional Insured (and primary) on General LlabiHty policy per the attached endorsements, if required. City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ; e t 11L1eAtr[sgerstitghblinrt l�J '1 y tS25-1UT D Al: L3 k(LI C: t ,ayc„x*.�.,nrw wac ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD — - ' NONPROFM INSURANCE ALLIANU OF CALIFORNIA A Head for Insurance, A Heart forNonprofits, POLICY NUMBER: 2022-03104 THIS ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY'COVERAGE PART SCHEDULE Name of Person or Organization: A. Section II —WHO IS AN INSURED is amended to include: 4. Any public entity as an additional insured, and the officers, officials, employees, agents and/or volunteers of that public entity, as applicable, who may be named In the Schedule above, when you have agreed in a written contract or written agreement presently in effect or becoming effective during the term of this policy, that such public entity and/or its officers, officials, employees, agents and/or volunteers be added as an additional insured(s) on your policy, but only with respect to liability for "bodily Injury', "property damage" or "personal and advertising injury"caused, in whole or In part, by: a. Your negligent acts or omissions; or b. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations. No such public entity or individual is an additional insured for liability arising out of the sole negligence by that public entity or its designated individuals. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. B. Section III — LIMITS OF INSURAN ;E is amended to include: S. The limits of insurance applicable to the public entity and applicable individuals identified as an additional insured(s) pursuant to Provision A.4. above, are those specified in the written contract between you and. that public entity, or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. C. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or - N IAC-E6'1 02 19 4!a kUMMnM=tDM*6A 4 tea s nF, eY: "` Rkk M�isi9emttN C€nic��Alrk ❑ NONPROFITS INSURANCE ALLIANCE OF CAUrORNIA A Head far Insurance. A HeartfPt-Naiproflts, POLICY NUMBER: 2022-03104 (2) The coverage afforded by this Insurance is primary and non-contributory with the additional insured(s)' own insurance, Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b, below. b. Excess Insurance This insurance'is excess over: 1. Any of the other Insurance, whether primary, excess, contingent or on any other basis: (a) That Is Fire, Extended Coverage, Builder's Risk, installation, Risk or similar coverage for "your work"; (b) That Is fire, lightning, or explosion insurance for premises rented to you or temporarily . . occupied by you with permission of the owner; (c) That is Insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, '"autos" or watercraft to the extent. not subject to Exclusion g..of SECTION I — COVERAGE A— BODILY INJURY AND PROPERTY DAMAGE. (e) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional Insured by that other insurance. (1) When tNs -insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" If any other insurer has a duty to defend the additional insured(s) against that "suit". If no other Insurer defends, we will undertake to do so, but 'we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other Insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self -insured amounts under ail that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described In this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown In the Declarations of this Coverage Part. c. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also, Under this approach each insurer contributes equal amounts until it has paid its .applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by -limits. Under this method, each insurer's share is based on the ratio of its applicable limit of Insurance to the total applicable limits of Insurance of all insurers. N IAC-E61 02 19 �,w^ 1+�M�grnun3. _ � 7t7m&At�ravm6y; f�5k M11.u�� grrna+f gtrirelAjdc POLICY NUMBER: 2022-03104 COMMERCIAL GENERAL. LIABILITY Named Insured: People for Irvine Community Health dba: 2-1-1 Orange CG 20 12 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental. Agency Or Subdivision Or Political Subdivision: Any state or political subdivision that Issues a permit or authorization to the named insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the fcdlowing provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a S permit or authaftaticn. However: a. The insurance afforded to such additional insured only applies to the extent permitted bylaw; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This Insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for. the federal government, state or municipality; or b. "Bodily injury" or "property damage" Included within the "products -completed operations hazard". With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional Insured is required by a contract or agreement, the most we will pay on behalf of the additional insured Is the amount of insurance: 1. Required by the contract oragreemerit; or- 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever Is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 12 04 13 Q Insurance Services Office, Inc., 2012 Q.,p.. Muagv�p;}on ai` 'Tasktafo�r� �77"-M Me 9CRWW 0+iml Aide ` POLICYHOLDER COPY P.D, BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS` COMPENSATION INSURANCE ISSUE DATE: 00-01-2021 CITY of SANTA ANA COMM. DEVELOPMENT AGENCY 20 CIVIC CENTER PLZ SANTA ANA CA 92701-40SS GROUP: POLICY NUMBER. 9023428-2021 CERTIFICATE 117: 48 CERTIFICATE EXPIRES: 0-01-2022 09-01-2021/08-01-2022 This is to certity that we have issued a valid Worke'rs' Compensation insurance policy in a form approved by 1he California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days advance written r406ce to the employer, We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration, This certificate of insurance is not an insurance policy and does not amend, extend or after the coverage afforded by, the policy listed here4i Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which It may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. Authorized i4epresentative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE CASTS: $1,000,000 PER OCCURRENCE, ENDORSEMENT N2M ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-01-2012 IS ATTACHED TO ANP FORMS A PART OF THIS POLICY, EMPLOYER PEOPLE FOR IRYINE COMMUNITY HEALTH A SP NON-PROFIT CORP, ORA, 2-1-1 ORANGE COUNTY 1505 E 17TH ST STE 108 SANTA ANA CA 92705 ME M- 24141 It �,��..�.�� tlsk �(tii�C4et �: ��(��i`�(j tt'Ev ID7m�f�ewtn m8 ,IEllJif 1'.1"IcS2L plskManagemav 0-1.1 lade -- PRINTED 0__- ENDORSEMENT AGREEMENT CERTIFICATE HOLDERS' NOTICE 9023428-12 RENEWAL SG HOME OFFICE SAN FRANCISCO EFFECTIVE SEPTEMBER 1, 2012 AT 12.01 A.M. PAGE 1 OF 1 ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME 2-1-1 ORANGE COUNTY PO BOX.14277 IRVINE, CA 92623 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING: IT IS AGREED THAT THIS POLICY SHALL.NOT SE CANCELLED UNTIL, 30 DAYS AFTER WRITTEN NOTICE OF SUCH CANCELLATION HAS BEEN PLACED IN THE MAIL BY STATE FUND TO CURRENT HOLDERS OF CERTIFICATE OF WORKERS' COMPENSATION INSURANCE. NOTHING IN THIS ENDORSEMENT CONTAINED SHALL DE HELD TO VARY, ALTER, (NAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALT. BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. a_ � �lideA{�a�,onaikE)ivti4m COUNTERSIGNED AND ISSUED AT SAN FRANCISCO:_�� SE PTEMBER 24, 20,12 AUTHORfZED REPRESENTA/iVE PRESIDENT AND CEO 2065 SCIF PORN, 10217 IRVV.1.2012} OLD DP 217